| Kenneth L Harding Jr, CRNA | |
|
1373 E State Road 62, Madison, IN 47250-7328 | |
| (812) 801-0156 | |
| (812) 801-0276 |
| Full Name | Kenneth L Harding Jr |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1373 E State Road 62, Madison, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992730766 | NPI | - | NPPES |
| 430039086 | Other | MEDICARE RAILROAD | |
| 50003404 | Other | KY | PASSPORT KY MEDICAID |
| 000000042218 | Other | IN | ANTHEM BCBS |
| 200115220A | Medicaid | IN | |
| 74290651 | Medicaid | KY | |
| 41CR04P | Other | IN | SIHO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 28080093 (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth L Harding Jr, CRNA Po Box 189, Madison, IN 47250-0189 Ph: (812) 801-0156 | Kenneth L Harding Jr, CRNA 1373 E State Road 62, Madison, IN 47250-7328 Ph: (812) 801-0156 |
Travis L Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1373 E State Road 62, Madison, IN 47250 Phone: 812-801-0609 Fax: 812-801-0276 |